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血友病性关节炎的X线诊断体会

EXPERIENCE OF DIAGNOSIS HEMOPHILIC ARTHRITIS WITH X-RAY

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【作者】 孙锡和; 刘惠芳; 徐重光;

【Author】 Sun Xihe, et al (Department of Radiology)

【机构】 潍坊医学院放射学教研室; 潍坊医学院放射学教研室; 寿光县人民医院放射科;

【摘要】 报告4例血友病性关节炎,共累计9个关节(膝6,髋、踝、肘各1)。X线征象包括:软组织关节囊肿胀,密度增高、关节间隙狭窄、关节面增生硬化及囊性骨质破坏、骨和骨端膨大、股骨髁间凹增宽增深等。此外还报告了肘关节较有价值的X线改变。

【Abstract】 We report 4 cases of hemapailic arthritis. The diagnosis is made depending upon ①History of nasal bLeediag and intra-articular hemorrhage. ② Increasing the coagulation time, and ③ X-ray fracture of hemophilic arthritis. Totally 9 joints were invalved. (6 knee joints, 1 hip joint, 1 elbow joint and 1 ankle joint). X-ray fractures were: ①soft tissue hypertrophy with increasing density due to hemosiderin deposits. ② Norrow ing of joint space due to cartilage destruction.③Enlargement of the epiphysis.④ Sclerotic and irregular articular sirface.⑤ Subchondral cystlike bone destruction. Except above, we also found same valuable change in the elbow joint.

  • 【文献出处】 潍坊医学院学报 ,Acta Academiae Medicinae Weifang , 编辑部邮箱 ,1988年04期
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